| NPI | 1760954671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10783) |
| 1041C0700X Social Worker, Clinical (Licence: NM M-10901) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2022-02-01 |