| NPI | 1861868036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10703) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM x-09229) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2021-06-29 |