| NPI | 1043872815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-10980) |
| 104100000X Social Worker (Licence: NM B-10661) | |
| 104100000X Social Worker (Licence: NM SWB-2022-0801) | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-01-17 |