| NPI | 1942742119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926280) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-06-27 |