| NPI | 1588818967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-07330) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM M-06833) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2019-12-03 |