| NPI | 1609247527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1888) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01349) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 0667) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2020-07-23 |