| NPI | 1942676994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY1081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225C00000X Rehabilitation Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-08-06 |