| NPI | 1114279601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09792) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM C-09792) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2023-10-01 |