| NPI | 1134731102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929625) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-10-12 |