| NPI | 1780124883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01759-L) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 01759-L) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2025-06-19 |