| NPI | 1245553379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07761) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07157) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2011-10-17 |