| NPI | 1720375769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926504) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010803) |
| 1041C0700X Social Worker, Clinical (Licence: CA 78105) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2025-03-12 |