| NPI | 1194513127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB20230328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.011687) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |