NPI | 1629494901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923780) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW0009920319) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2020-07-24 |