| NPI | 1023292745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0850) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0109051) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2023-04-05 |