| NPI | 1942800495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-1045) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11417) |
| 104100000X Social Worker (Licence: NY 109505) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928813) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2023-06-02 |