| NPI | 1760255004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2023-1153) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 111446) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |