| NPI | 1023616158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 26370) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0903003298) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003931) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2026-01-07 |