| NPI | 1811696115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 10552-C) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-16 |