| NPI | 1790115749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 10422-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 8550-M) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2023-01-24 |