| NPI | 1225455827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 120199) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2025-05-30 |