| NPI | 1083196497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10559) |
| Additional Taxonomies | 104100000X Social Worker (Licence: M-09635) |
| 104100000X Social Worker (Licence: NM M-09635) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-08-27 |