| NPI | 1841690955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925207) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014028745) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2018-10-10 |