| NPI | 1710295324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09926733) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM C-08848) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2020-12-08 |