| NPI | 1780887463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 8338-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 00175-LC INTERN) |
| 101YM0800X Counselor Mental Health (Licence: NV 00175-LC INTERN) | |
| 104100000X Social Worker (Licence: NV 7406-S) | |
| 1041C0700X Social Worker Clinical (Licence: NV IC-1101 CSW INTERN) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-04-21 |