| NPI | 1912359399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-09487) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2020-01-15 |