| NPI | 1225539554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07147-LCI) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI5150) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2025-07-28 |