| NPI | 1780331801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1282) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |