| NPI | 1134754120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 2649-R) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12422) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201758) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |