| NPI | 1225537186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-0994-2022) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2024-06-04 |