| NPI | 1710714472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM swb-2025-1084) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 63937) |
| 104100000X Social Worker (Licence: NM M-10629) | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2025-11-20 |