| NPI | 1083054811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 106H00000X Marriage & Family Therapist (Licence: NV 4240) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2026-07-28 |