| NPI | 1861032856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9776-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 7961-S) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06794-LCI) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2023-03-16 |