| NPI | 1972047561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 08280-I) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NV CHW1-5679) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2026-07-28 |