| NPI | 1902391659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0726) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10516) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-07-17 |