| NPI | 1114041399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-08408) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NM M-05909) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-04-10 |