| NPI | 1619245651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9087-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 2928-S) |
| 104100000X Social Worker (Licence: NV IC-1156) | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2022-01-03 |