| NPI | 1902349608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 0009922506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 14053) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-06-18 |