| NPI | 1114681590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1119) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11856) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2025-09-12 |