| NPI | 1982715900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-3801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-3801) |
| 1041S0200X Social Worker, School (Licence: NM I-3801) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-12-22 |