| NPI | 1174065445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 9376-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06844-LC) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2025-09-23 |