| NPI | 1639416134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10804-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-07930) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2023-08-07 |