| NPI | 1366958399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926220) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2025-06-19 |