| NPI | 1154980225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 99941-c) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 8414-S) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2022-04-18 |