| NPI | 1710424825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00719-C) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01960-I) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-03-17 |