| NPI | 1407843766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10808) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 13162) |
| 1041C0700X Social Worker, Clinical (Licence: NM X-10945) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-06-11 |