NPI | 1922396258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI-0453) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00178-LCI) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-07-20 |
Last Update Date | 2018-07-25 |