| NPI | 1659566313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C07176) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-05571) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-07176) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2025-02-04 |