| NPI | 1467921494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV 9472-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 00297) |
| 104100000X Social Worker (Licence: NV 8130-S) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2025-01-30 |