| NPI | 1255760161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0147) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00396-LC) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00198-CG) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2016-07-29 |