| NPI | 1962943431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924884) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I1600160) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2022-07-21 |