| NPI | 1902540750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928886) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.000992479) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-01-06 |