| NPI | 1760149728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0250) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2025-08-05 |