| NPI | 1720103823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0806) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM 256905) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-02-22 |