| NPI | 1457070856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09932156) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-81258) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-08-26 |