| NPI | 1639254857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992668) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-03-18 |