| NPI | 1134993587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13642617-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992230) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |