| NPI | 1629739495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009924066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000000354) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-08-23 |