| NPI | 1922573922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 8682-M) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 08117-I) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2025-09-15 |