NPI | 1972835163 |
---|---|
Former Name | JENNIFER CALLOWAY DUSTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01198) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 01505) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2016-07-19 |