NPI | 1417394065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01320) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00383-LC) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2020-04-06 |