| NPI | 1093152274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-09180) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08383) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2016-12-12 |