| NPI | 1376054825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5107) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02113-I) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00818-C) | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2022-07-29 |