| NPI | 1073250049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1878) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV NV20191398427) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2025-05-22 |