| 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 | 2025-11-10 |