| NPI | 1245728112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM swb-2025-0806) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2025-08-26 |