| NPI | 1619654373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2025-0830) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-12-24 |