| NPI | 1689129835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023023543) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-01-09 |