| NPI | 1912476243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 6447G) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 10832-M) |
| 1041C0700X Social Worker, Clinical (Licence: NV IC-2682) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-04-18 |