| NPI | 1790075406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM I-07097) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2022-05-26 |