| NPI | 1588182760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1140) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 28831) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-09-23 |