| NPI | 1972028611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB20231270) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10246) |
| 104100000X Social Worker (Licence: NM M-10302) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 66060) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-12-08 |