| NPI | 1841806502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker (Licence: CO LSW.0009923901) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-07-02 |