| NPI | 1356470108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NV 420L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 369) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |