| NPI | 1194148759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 7181-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 00407-LC) |
| 1041C0700X Social Worker Clinical (Licence: HI 4187) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2024-07-03 |