| NPI | 1205065778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07974) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07281) |
| 1041C0700X Social Worker, Clinical (Licence: NM X-07470) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2012-11-02 |