| NPI | 1598319675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW.9924978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4420) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2024-04-19 |