| NPI | 1174361265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 117661) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2024-0395) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2026-04-21 |