| NPI | 1144690256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11110) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-09261) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2021-04-15 |