| NPI | 1518130467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-07223) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NM C-07223) |
| 101YP2500X Counselor Professional (Licence: NM C-07223) | |
| 104100000X Social Worker (Licence: NM C-07223) | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2017-05-02 |