| NPI | 1063828978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9702-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4767) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2022-02-17 |