| NPI | 1083048037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NM c-09396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C09396) |
| 1041C0700X Social Worker, Clinical (Licence: NM X08231) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2020-08-25 |