| NPI | 1992406714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927732) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16989) |
| 1041C0700X Social Worker, Clinical (Licence: UT 11308166-3501) | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2025-09-30 |