| NPI | 1649722083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65257) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801114294) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2024-11-26 |