| NPI | 1710376801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923575) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 09923575) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2021-03-03 |