| NPI | 1003579566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00000179) |
| Additional Taxonomies | 251S00000X (Licence: CO CSW.00000179) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-04-29 |