| NPI | 1275265456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 110454) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-10-13 |