| NPI | 1427315712 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5274) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01851-L) | 
| 101YP2500X Counselor, Professional (Licence: NV CI1761) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2012-04-12 | 
| Last Update Date | 2023-02-28 |