| NPI | 1124737044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI4515) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07656-C) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07737-IG) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-11-03 |