| NPI | 1063065829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11358) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-10268) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-09-18 |