| NPI | 1306252762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI1755) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06941-1) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-01-30 |