| NPI | 1023241924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10136) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08815) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2020-06-15 |