| NPI | 1386766988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 1066) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00987-I) |
| 106H00000X Marriage & Family Therapist (Licence: NV R05389) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-11-12 |