| NPI | 1629532288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927685) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-10-12 |