| NPI | 1952855124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926599) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600585) |
| 104100000X Social Worker (Licence: CO LSW.0009922683) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2025-03-04 |