| NPI | 1992510267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22560) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |