| NPI | 1205697208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 26916-C) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-11-26 |