| NPI | 1861704405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-1031) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I-1031) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2019-04-09 |