| NPI | 1235425729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0273) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00360-LC) |
| 101YM0800X Counselor, Mental Health (Licence: FL 6009) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401012831) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2018-05-01 |