| NPI | 1174825038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-07754) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM M-06931) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-09-12 |