| NPI | 1659782480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-10232) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM B-08295) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2018-08-22 |