| NPI | 1669828141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927010) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093228) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-12-22 |