| NPI | 1962379743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.9932339) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO CSW.09932339) |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2026-03-23 |