| NPI | 1659676567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2000157699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926157) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2024-07-25 |