NPI | 1780112201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926376) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-1078) |
Enumeration Date | 2017-05-28 |
Last Update Date | 2025-09-25 |