| NPI | 1851708663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-08727) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-03-17 |