| NPI | 1619761129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO .09931379) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9079-123) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-17 |