NPI | 1679817043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CPC#0049) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV LADC #1160) |
101YP2500X Counselor, Professional (Licence: NV NCC#204921) | |
Enumeration Date | 2012-11-24 |
Last Update Date | 2023-02-07 |