| NPI | 1275765638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08572) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM x-06984) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2022-05-11 |