| NPI | 1942550611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077244) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2019-10-09 |