| NPI | 1578691127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07412) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM M 3065) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-07-10 |