| NPI | 1619518883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4246C) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-06-15 |