| NPI | 1649747395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2024-1155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 37666) |
| 106S00000X Behavior Technician (Licence: TX 37666) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 37666) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 37666) | |
| 103K00000X Behavior Analyst (Licence: TX 37666) | |
| 101Y00000X Counselor (Licence: TX 37666) | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2026-03-10 |