| NPI | 1801453725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927999) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009922826) | |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2022-02-02 |