| NPI | 1518100411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2563-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-0055) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2012-03-06 |