| NPI | 1205106028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00651-C) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV CI3069) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NV 06897-IG) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2024-02-16 |