NPI | 1083907182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01767-l) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI4150) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2025-09-08 |