| NPI | 1780166603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9639-123) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW24815) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-08-12 |