| NPI | 1477112837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02285-I) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-09-11 |