| NPI | 1801209267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 6120-s) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM C-12165) |
| 101YM0800X Counselor, Mental Health (Licence: NV 7437-C) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-01-06 |