| NPI | 1164033239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108272) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-10-06 |