| NPI | 1194503532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930886) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14063365-3501) |
| 104100000X Social Worker (Licence: UT 12843815-3502) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2026-04-09 |