| NPI | 1861628323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM 1-08104) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM M-06894) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-08104) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2014-03-10 |