| NPI | 1255840575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0980) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11585) |
| 1041C0700X Social Worker, Clinical (Licence: NM X11642) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2023-10-24 |