| NPI | 1639238546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 01145) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2017-01-10 |