| NPI | 1902398605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926245) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921761) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-01-05 |