| NPI | 1760099006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM SWB-2023-0644) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NM X-11515) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-03-12 |