| NPI | 1801458229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 35348) |
| 1041C0700X Social Worker, Clinical (Licence: OR L17699) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2026-02-17 |