| NPI | 1215138383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 0017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19065) |
| 101Y00000X Counselor (Licence: NV 0017) | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 121) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-08-19 |