| NPI | 1629509096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-10084) |
| 104100000X Social Worker (Licence: NM X-09983) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-09-29 |