| NPI | 1962985242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 0009924143) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009924143) |
| 247200000X Technician, Other (Licence: TX RBT-18-56626) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-01-27 |