| NPI | 1427447499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0768) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 077097-1) |
| 104100000X Social Worker (Licence: NM M-11836) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2025-01-21 |