| NPI | 1679143846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929842) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 75295) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-03-11 |