| NPI | 1932526803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07352) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 989859) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |