| NPI | 1700154283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-860) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2014-09-29 |