| NPI | 1629278197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW35858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-04976) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-08-10 |