| NPI | 1285858035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01330) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00471-LC) |
| 106H00000X Marriage & Family Therapist (Licence: CA #MFC 49651) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-06-10 |