| NPI | 1518230739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07609-LC) |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2024-06-13 |