| NPI | 1902286271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18947) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-11-02 |