| NPI | 1871902403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0058) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2025-04-02 |