| NPI | 1962716795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM 06987) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2018-03-17 |