| NPI | 1093364200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-12113) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM M-12113) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-03-15 |