| NPI | 1679601587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06714) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M 5462) |
| 1041S0200X Social Worker, School (Licence: NM M 5462) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-12-27 |