| NPI | 1518629948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927780) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW124648) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW19209) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2025-09-03 |