| NPI | 1558775254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-05647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-05647) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2015-06-30 |