| NPI | 1205230885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP1201) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00350-C) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00549-LC) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2021-02-09 |