| NPI | 1376579979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927005) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55469) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-11-20 |