| NPI | 1407428162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-10964) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-02-06 |