| NPI | 1730546557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0315) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09325) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23520) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 65228) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2025-06-13 |