| NPI | 1891949129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM x-09003) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 31124) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: NM C-09207) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2023-08-30 |