| NPI | 1467169326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928540) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2026-03-23 |