NPI | 1578041125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8997-C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01836-L) |
104100000X Social Worker (Licence: NV 7075S) | |
1041C0700X Social Worker, Clinical (Licence: MO 2021039661) | |
Enumeration Date | 2018-08-04 |
Last Update Date | 2021-11-23 |