| NPI | 1962917096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-09669) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-03-19 |