| NPI | 1962805721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10343) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM X-08612) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2024-06-03 |