| NPI | 1073816773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-09369) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 1073816773) |
| Enumeration Date | 2010-12-18 |
| Last Update Date | 2023-03-26 |