| NPI | 1093209694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0174) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-05-07 |