| NPI | 1639886559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0009923906) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-10-02 |