| NPI | 1336629930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV IC-2377) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 11273-M) |
| 1041C0700X Social Worker Clinical (Licence: UT 14184588-3502) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-10-12 |