| NPI | 1134719404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017952) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-06-19 |