NPI | 1194897751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 4157-M) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 4157-S) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2025-08-19 |