| NPI | 1538599154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV MI0466) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 688L) |
| 103TS0200X Psychologist School (Licence: NV 32863) | |
| 101YS0200X Counselor School (Licence: NV 32863) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-19 |