| NPI | 1164078275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9248-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 7933-S) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-04-23 |