| NPI | 1699470294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NV CI5354) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07366-lci) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-12-21 |