| NPI | 1760896203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09930430) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM C-09657) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-05-15 |