| NPI | 1265112387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10897-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW008145) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-05-01 |