| NPI | 1366103921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV IC-2298) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-10-29 |