| NPI | 1275294308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11460) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2025-04-28 |