| NPI | 1346588159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NV CP1135) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01705-L) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP1135) | |
| 101YP2500X Counselor, Professional (Licence: NV CP1135) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2019-08-28 |