| NPI | 1235177551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01090-L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01015) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-10-26 |