| NPI | 1073245320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61570893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0487) |
| 1041S0200X Social Worker, School (Licence: NM SWB-2022-0094) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-01-28 |