| NPI | 1134847973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0172) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-09-25 |