| NPI | 1962677492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07304) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-06619) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2011-01-26 |