| NPI | 1184940231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-08136) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM X-06738) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2014-01-27 |