| NPI | 1902208473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09923187) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09923187) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-05-06 |