| NPI | 1790331858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 11968-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00833-C) |
| 101YM0800X Counselor, Mental Health (Licence: UT 13063034-3501) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-02-18 |