| NPI | 1972997674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924590) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2012008336) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2021-03-31 |