| NPI | 1578331856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09933253) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW0009927056) |
| 1041C0700X Social Worker, Clinical (Licence: GA MSW011164) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2026-06-03 |