| NPI | 1063858702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11010) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-10002) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-01-13 |