| NPI | 1003025198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-05191) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-05-13 |