| NPI | 1215129143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM I-07273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM X-05627) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-10-22 |