| NPI | 1013323864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1255) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-08680) |
| 1041C0700X Social Worker, Clinical (Licence: NM M-09242) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-05-20 |