| NPI | 1437648557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00718-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 7836-S) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-06-20 |