| NPI | 1790405074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0194) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 1041S0200X Social Worker, School (Licence: NM SWB-2023-0194) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-05-06 |