| NPI | 1417472051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2022-1177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 114779) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2025-07-29 |