| NPI | 1710252473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6283) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2024-06-25 |