| NPI | 1699124487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09926256) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2021-03-04 |