| NPI | 1285092932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925794) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011912) |
| 1041C0700X Social Worker, Clinical (Licence: TX 105420) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2025-01-15 |