| NPI | 1184492019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1258) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-12-12 |