| NPI | 1780178160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018020077) |
| 1041C0700X Social Worker, Clinical (Licence: 2020024881) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-03-08 |