NPI | 1972955615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV C15112) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07180-LCI) |
106H00000X Marriage & Family Therapist (Licence: NV MI4221) | |
Enumeration Date | 2016-07-06 |
Last Update Date | 2023-06-13 |