| NPI | 1467943167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-10323) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-08-16 |