| NPI | 1265892707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01771-L) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 00233-G) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-12-17 |