| NPI | 1710567714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2023-0090) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-10-04 |