| NPI | 1255840575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115372) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2026-06-20 |