| NPI | 1265170724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00843) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-02-27 |