NPI | 1891233755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1245) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 5638-S) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2018-11-29 |