| NPI | 1679154470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34012156A) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-04-09 |