| NPI | 1396216511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925451) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28245) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-10-16 |