| NPI | 1265705586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10704) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09115) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2023-06-30 |