| NPI | 1790175248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923751) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089101) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149025855) | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2024-11-22 |