| NPI | 1477673259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-3708) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-07-21 |