| NPI | 1891059424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904010256) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM C-08923) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-08-02 |