| NPI | 1053781583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0629) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 0000050203) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 451-L) | |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2021-02-01 |