| NPI | 1508176769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI0047) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00161-LC) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2013-08-29 |