| NPI | 1275769911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07821) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-07071) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-10-06 |