NPI | 1497020531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06815-C) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2012-03-21 |
Last Update Date | 2021-08-13 |