| NPI | 1922674571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NV 8448-S) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV IC1874) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-10-01 |