| NPI | 1205200052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0746) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171W00000X Contractor (Licence: NV MI0746) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-11-22 |