NPI | 1730668237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 1047) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106129) |
106H00000X Marriage & Family Therapist (Licence: TX 203278) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06976-LCI) | |
Enumeration Date | 2018-08-07 |
Last Update Date | 2024-07-12 |