| NPI | 1124550348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0989) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-09760) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-01-24 |