| NPI | 1063809689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW00001916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014255) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2025-03-25 |