| NPI | 1265251847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931435) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-03-28 |