| NPI | 1568120681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18442) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |