| 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 |