| NPI | 1821625245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009925358) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-04-08 |