| NPI | 1902995046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-07570) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 05101188C) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-07-21 |