| NPI | 1760868673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9440-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23122) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925233) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-12-08 |