| NPI | 1275954182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10264) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-08756) |
| 101Y00000X Counselor | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2024-06-03 |