| NPI | 1942719984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.099282652) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13958) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2023-03-20 |