| NPI | 1679268247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09931183) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0000000924) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-12-10 |