| NPI | 1174933410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0165) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00423-LC) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.010324) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2017-07-17 |