| NPI | 1225165574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-0152) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 7629 INACTIVE) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |