| NPI | 1316561863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2026-0711) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2023-1207) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2026-06-09 |