| NPI | 1831967835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091653) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930754) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-08-07 |