| NPI | 1649402991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-08509) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM X-08302) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2019-02-11 |