| NPI | 1770865123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0573) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00509-LC) |
| 106H00000X Marriage & Family Therapist (Licence: NV 01501) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2021-12-16 |