| NPI | 1649954272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.099933359) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-08-12 |