| NPI | 1871131300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0342) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: NM M-11497) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-01-12 |