| NPI | 1821376344 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-691) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 6011-S) | 
| Enumeration Date | 2011-08-01 | 
| Last Update Date | 2011-09-08 |