| NPI | 1972321602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 230953) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.9933659) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2026-09-10 |