| NPI | 1992836605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09925850) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0090921540) |
| 164W00000X Licensed Practical Nurse (Licence: CO 43314) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-04-20 |