| NPI | 1669985313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1339) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 166-2) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2019-05-06 |