| NPI | 1831759554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0984) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11318) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-05-09 |