| NPI | 1265139471 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: NM 34406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0974) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2025-05-07 |