| NPI | 1790372647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929059) |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2023-03-07 |