| NPI | 1720506520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923279) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 09923279) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-08-09 |