| NPI | 1760825798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-11760) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM X-07954) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-01-04 |