| NPI | 1841030210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928283) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: CO 302383) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |