| NPI | 1679919666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV 01480) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV CADC-I 01106) |
| 101YM0800X Counselor Mental Health (Licence: NV MFT-I 0429) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-06-06 |