| NPI | 1396923249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01344) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00334-LC) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 10263) | |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2018-07-25 |