| NPI | 1790533438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009925382) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109371) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-01-06 |