| NPI | 1982166575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11287) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-010234) |
| 1041C0700X Social Worker, Clinical (Licence: CT 011700) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-04-10 |