| NPI | 1275933749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60988628) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00211-LC) |
| 1041C0700X Social Worker, Clinical (Licence: NV IC-1055) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 8237-C) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2025-04-25 |