| NPI | 1548988066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: CO lsw.0009923774) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-04-02 |