| NPI | 1700259884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09925385) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129837-121) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2018-06-25 |