NPI | 1275758609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 1151) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0976) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |