| NPI | 1700226586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CP5752) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 01421) |
| 101YM0800X Counselor Mental Health (Licence: NV PC5752) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-09-27 |