| NPI | 1174236640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929062) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009923185) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-08-08 |