| NPI | 1477053395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C09177) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM C-09177) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2025-05-16 |