| NPI | 1104390244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0492) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM m-10645) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2022-08-18 |