| NPI | 1376824334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 022227-I) |
| 101YP2500X Counselor, Professional (Licence: NV CI5185) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2022-10-11 |