| NPI | 1174234579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV CHW1-6124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 08327-I) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2026-09-08 |