| NPI | 1124695895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015994) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009923513) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928964) | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2025-01-09 |