| NPI | 1932262235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM M-06154) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NM M-06154) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-08-12 |