| NPI | 1780075572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923985) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081957) |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2019-06-11 |