| NPI | 1508256645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-10076) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08966) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2022-01-10 |