| NPI | 1194487884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0370) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2022-09-26 |