| NPI | 1598092207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1142)  | |
| Enumeration Date | 2009-11-17 | 
| Last Update Date | 2025-01-09 |