| NPI | 1063260297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW0009924422) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-31 |