| NPI | 1922729276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0005) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11210) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19655) | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-01-03 |