| NPI | 1649601071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09924249) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920186) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2016-02-22 |