| NPI | 1356552897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MF01099) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00178-LC) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00164-S) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-05-02 |