| NPI | 1558153973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 52950) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-27 |