| NPI | 1215223045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01271-L) |
| 104100000X Social Worker (Licence: NV 6751-S) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-11-04 |