| NPI | 1154718799 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 3193-R) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094183-1) | 
| 104100000X Social Worker (Licence: NV 8813-s) | |
| Enumeration Date | 2015-04-21 | 
| Last Update Date | 2023-06-19 |