| NPI | 1144716119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12148) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-10424) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-10-24 |