| NPI | 1144041625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW25593) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930209) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2026-06-16 |