| NPI | 1780134288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925645) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099000) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2019-03-14 |