| NPI | 1013618131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM SBW-2025-0962) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NM M-11399) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2025-08-31 |