| NPI | 1902920564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992416) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 992416) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-06-25 |