| NPI | 1821523515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CI3043) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 02024-I) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2022-03-05 |