| NPI | 1831593748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-1321) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2023-0994) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: TX 110666) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2026-06-17 |