| NPI | 1730118670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-4031) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM I-4031) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-07-21 |