| NPI | 1730581604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924743) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW-9920543) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-01-11 |