NPI | 1497336101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11013-C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07562-LC) |
1041C0700X Social Worker, Clinical (Licence: CA 116650) | |
Enumeration Date | 2021-04-15 |
Last Update Date | 2023-11-22 |