| NPI | 1265244206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 18338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-1306) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932777) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2026-01-31 |