NPI | 1386032464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07840-I) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-12-25 |
Last Update Date | 2025-07-22 |