| NPI | 1801601810 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09931309)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw23775)  | 
| Enumeration Date | 2025-02-08 | 
| Last Update Date | 2025-02-08 |