| NPI | 1053717991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07537-1) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NV CHW2-5007) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2025-01-28 |