| NPI | 1780201061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV IC-2224) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-05-22 |