| NPI | 1720492341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-1083) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 29417) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2026-05-12 |