| NPI | 1306571211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0000000708) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2025-05-01 |