| NPI | 1255929261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1089) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM 401722) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-11-08 |