NPI | 1689251654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9120-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 7934-S) |
Enumeration Date | 2021-03-25 |
Last Update Date | 2022-11-01 |