NPI | 1972900967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08531) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NM I-08531) |
Enumeration Date | 2014-11-19 |
Last Update Date | 2022-04-29 |