| NPI | 1730899766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1197) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 109026) |
| 104100000X Social Worker (Licence: NM SWB-2022-0931) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-11-21 |