| NPI | 1457910630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56454) |
| 1041C0700X Social Worker, Clinical (Licence: NH EL0613) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-10-20 |