| NPI | 1861894644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20427) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2017-11-22 |