| NPI | 1891828232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM M-0809) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NM M-0809) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-06-26 |