| NPI | 1780113340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-10119) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-10068) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2019-07-05 |