NPI | 1780756874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 5488-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 2690-S) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2023-08-08 |