| NPI | 1982050027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920772) |
| 172V00000X Community Health Worker (Licence: CO NLC.0105493) | |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2016-10-30 |