| NPI | 1740300052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MFT0681) |
| 106H00000X Marriage & Family Therapist (Licence: NV LADC00940) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-26 |