| NPI | 1740934330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928626) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-05-12 |