| NPI | 1467692970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 37540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-05461) |
| 104100000X Social Worker (Licence: TX 37540) | |
| 1041C0700X Social Worker, Clinical (Licence: NM C-07868) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2021-11-16 |