| NPI | 1033829940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 116522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2023-0296) |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0955) | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2025-09-23 |