| NPI | 1124300819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MFT 0687) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV LADC 3855) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |