| NPI | 1114680071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 13375769-3501) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929906) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2025-03-31 |