| NPI | 1912453390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09925702) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO Lsw.0009921090) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2018-12-20 |