| NPI | 1952198079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0441) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2025-0194) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-05-20 |