| NPI | 1760626154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 4605-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM I-06098) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-07-26 |