| NPI | 1861160509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-11841) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-04-12 |