| NPI | 1639465123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923836) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116969) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-01-12 |