| NPI | 1477097483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5972-R) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 08005-I) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2025-09-26 |