| NPI | 1619854825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CO 24489614) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0000000664) |
| 1041C0700X Social Worker, Clinical (Licence: CO 0000000664) | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |