| NPI | 1659894277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924504) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1011) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-07-13 |