| NPI | 1386309383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929750) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 106653) |
| 1041C0700X Social Worker Clinical (Licence: IA 123275) | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-04-16 |