| NPI | 1982807640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 80405) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW015295) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2023-10-27 |