NPI | 1821381096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00943L) |
106H00000X Marriage & Family Therapist (Licence: NV 0804) | |
Enumeration Date | 2011-05-20 |
Last Update Date | 2011-05-20 |