| NPI | 1831654425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 2303-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV CI3302) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-08-12 |