| NPI | 1255088563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0420) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW19622) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2025-07-16 |