| NPI | 1114229507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM x-08137) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0160181) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2025-06-30 |