| NPI | 1043865330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 131473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131473) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-02-12 |