| NPI | 1780410324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 14072833-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924502) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |