| NPI | 1679161293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10917) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-08-08 |