| NPI | 1811306350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 12135-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 16173) |
| 1041C0700X Social Worker Clinical (Licence: TX 107206) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 06736-S) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 01858-L) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2025-07-14 |