| NPI | 1851723183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2023-1363) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5358) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2024-01-03 |