| NPI | 1073177911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2022-0851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 108033) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-09-22 |