| NPI | 1255615605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09924982) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29129) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2026-03-16 |