| NPI | 1467079863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0942) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM x-11472) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-03-19 |