| NPI | 1922862598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV MI4380) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 07648-IG) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07494-I) | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-06-21 |