| NPI | 1205132891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 164W00000X Licensed Practical Nurse (Licence: NV LPN15661) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2022-04-27 |