| NPI | 1255775367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV 01483) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 00207LCI) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-03-17 |