| NPI | 1992000384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: NV 5804-S) | |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |