| NPI | 1972272094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-1153) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1201) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2025-10-23 |