| NPI | 1912131137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-06781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004010) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2020-01-01 |