| NPI | 1366902157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12768-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001823) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-02-10 |