| NPI | 1053461079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 4346123) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-12-13 |