| NPI | 1902156847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0249) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00315-P) |
| 101YM0800X Counselor, Mental Health (Licence: NV CI0058) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |