| NPI | 1033683289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2024-0579) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2024-06-27 |