| NPI | 1871966127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-10467) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM X-09364) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2018-11-20 |