| NPI | 1598160020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-09782) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM C-09782) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2024-12-20 |