NPI | 1174969380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 00132-C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 135-L) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-05-14 |