| NPI | 1407005796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-06317) |
| 104100000X Social Worker (Licence: NM M-06972) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2011-08-24 |