| NPI | 1407334360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5085) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07035-LC) |
| 101Y00000X Counselor (Licence: NV CP5085) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-05-10 |