| NPI | 1700747920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09930633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6814) |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |