| NPI | 1962079871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1772) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 8489-M) |
| 1041C0700X Social Worker, Clinical (Licence: NV 8489-8) | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-07-22 |