| NPI | 1326668393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CI653) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 00368-LCINTERN) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |