| 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 |