| NPI | 1467168435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV IC-2047) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 07290-LCI) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |