| NPI | 1720691611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06977-I) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-02-09 |