| NPI | 1811581333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07654-L) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 12917-M) |
| 1041C0700X Social Worker, Clinical (Licence: NV IC-2928) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2026-02-18 |