| NPI | 1720688609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928856) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2025-08-22 |