| NPI | 1598430407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66004) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-05-19 |