| NPI | 1124716758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5104) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07080-L) |
| 101YM0800X Counselor, Mental Health (Licence: NV CI5104) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-05-13 |