| NPI | 1154504777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM C-07730) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2017-05-17 |