| NPI | 1841712387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-10255) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM x-10137) |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2018-05-21 |