| NPI | 1386482115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0565) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-10-13 |