| NPI | 1447733266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09925318) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 18287) |
| 1041C0700X Social Worker Clinical (Licence: CA 28400) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2025-03-14 |