| NPI | 1699057612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-07696) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2024-06-12 |