| NPI | 1639703598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8514-S) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NV 08149-S) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2025-11-25 |