| NPI | 1871992230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09754) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3764) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-07-23 |