NPI | 1699956706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01197) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 394-L) |
101YP2500X Counselor Professional (Licence: NV CPC 0024) | |
Enumeration Date | 2007-11-16 |
Last Update Date | 2019-11-08 |