| NPI | 1205021599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0209) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-08-11 |