| NPI | 1548382088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NV 0631) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 449-L) |
| 106H00000X Marriage & Family Therapist (Licence: NV 0398) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-05-14 |