| NPI | 1659885150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081531) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2021-02-17 |