| NPI | 1407462971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5734) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00759-P) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06878-LCI) | |
| 101YP2500X Counselor, Professional (Licence: NV CI3194) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2025-01-15 |