| NPI | 1750045795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0009923257) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-01-03 |