| NPI | 1902865710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 258) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2016-07-20 |