| NPI | 1174294532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM SWB-2024-0211) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 105759) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-03-01 |