NPI | 1629348446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00539-LC) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01373) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2024-07-24 |