| NPI | 1063127058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0463) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-06-09 |