| NPI | 1902229602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 8651-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 6859-S) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2021-04-04 |