| NPI | 1912312778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 864) |
| 1041C0700X Social Worker, Clinical (Licence: NE 585) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2018-03-06 |