NPI | 1457969289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0053) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11469) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-07-17 |
Last Update Date | 2024-03-19 |