NPI | 1710545298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-2305) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02419-I) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06636-C) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2019-05-30 |
Last Update Date | 2023-10-18 |