| NPI | 1205464997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932886) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO CSW.09932886) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-03-17 |