| NPI | 1578158473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1236) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-11592) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2024-11-12 |