| NPI | 1538774260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07611-LC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5574) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-12-11 |