NPI | 1376988287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0857) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02071-I) |
106H00000X Marriage & Family Therapist (Licence: CA IMF73208) | |
Enumeration Date | 2013-05-06 |
Last Update Date | 2018-03-28 |