| NPI | 1982914941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw9414) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-09-01 |