| NPI | 1336515337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-11461) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-11484) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-01-26 |