| NPI | 1891274692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926732) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 14371) |
| 1041C0700X Social Worker, Clinical (Licence: LA 14371) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-09-01 |