| NPI | 1700588621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09929201) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009920556) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-03-04 |