| NPI | 1649554320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1796) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077037) |
| 1041C0700X Social Worker, Clinical (Licence: CT 7336) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2023-04-27 |