NPI | 1245519180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6768-C) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: NV 6798-C) | |
Enumeration Date | 2011-08-09 |
Last Update Date | 2023-08-07 |