| NPI | 1144370453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 004815) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-03-22 |