| NPI | 1508357781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09925683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1113) |
| 1041C0700X Social Worker, Clinical (Licence: AL 4307C) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2025-05-09 |