| NPI | 1942236328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-09056) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 3992-C) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2015-04-17 |