| NPI | 1669161881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931933) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117698-01) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2025-12-19 |