| NPI | 1992258545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8861-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-984) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2023-08-07 |