| NPI | 1902565914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930092) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO SWC.0000000262) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2024-02-07 |