NPI | 1700172103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926104) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10137) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2024-05-10 |