| NPI | 1003853813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV NV 2105C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV NV00191-LC) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-09-16 |