| NPI | 1609231505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0246) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00557-LC) |
| 101YP2500X Counselor, Professional (Licence: NV 348849) | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2023-12-02 |