| NPI | 1194430090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009924288) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-11-08 |