| NPI | 1891859211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM LISW I-07039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L1795) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-06-23 |