| NPI | 1710768312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2023-0176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0442) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009972) | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2026-02-13 |