| NPI | 1376076372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2023-0384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW80534) |
| 1041C0700X Social Worker, Clinical (Licence: CA 106581) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW106581) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-04-05 |