| NPI | 1619482106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0970) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-07-15 |