NPI | 1427420728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI-770) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01872-L) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2023-11-20 |