| NPI | 1477957298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP5043) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 01768-L) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2023-06-27 |