| NPI | 1275800161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08754) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-06907) |
| 1041C0700X Social Worker, Clinical (Licence: NM M-06907) | |
| 1041C0700X Social Worker, Clinical (Licence: NM I-08754) | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2023-03-06 |