| NPI | 1225688088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO MS00000008) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019015744) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2021033449) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 05586) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2025-11-18 |