| NPI | 1831867589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09929612) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW1576) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-09-08 |