| NPI | 1366839524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM SWB-2022-0107) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM X-08906) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-04-22 |