| NPI | 1245644210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926987) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102236) |
| 104100000X Social Worker (Licence: CO 1041C0700X) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2025-08-19 |