| NPI | 1417615188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115179) |
| 1041C0700X Social Worker, Clinical (Licence: MA 124161) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2025-07-31 |