| NPI | 1184818270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09126) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM M-06557) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-04-11 |