| NPI | 1366685380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06820-C) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT31326) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2023-08-13 |