| NPI | 1922729276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM SWB-2024-0005) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-19655) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-08-22 |