| NPI | 1598491532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07126-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI4207) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2023-02-04 |