| NPI | 1861967911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 7275-S) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 007520-2015) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |