| NPI | 1659084564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51857) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |