| NPI | 1306506365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 32349) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929493) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2025-11-17 |