| NPI | 1992000996 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0712)  | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NV 39232)  | 
| 103TS0200X Psychologist, School (Licence: NV 39232)  | |
| Enumeration Date | 2011-01-21 | 
| Last Update Date | 2016-09-20 |