| NPI | 1194552851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L15376) |
| 1041C0700X Social Worker, Clinical (Licence: MD 31158) | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |