| NPI | 1538425095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NV 0048-LC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00448-lc) |
| 101Y00000X Counselor (Licence: NV CI0317) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2019-04-04 |