NPI | 1417472051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1177) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 114779) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2024-09-24 |