NPI | 1801218334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07449-L) |
Additional Taxonomies | 104100000X Social Worker (Licence: NV 6214-M) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2025-07-25 |