| NPI | 1093364200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2024-0542) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: NM M-12113) | |
| 101Y00000X Counselor (Licence: NM SWB-2024-0542) | |
| 104100000X Social Worker (Licence: NM M-12113) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-11-18 |