| NPI | 1114653920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106131) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2023-0740) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-07-11 |