| NPI | 1710352240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081301) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2021-01-05 |