NPI | 1114088291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0120871) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0163871) |
101YM0800X Counselor, Mental Health (Licence: NM 0120871) | |
101YP2500X Counselor, Professional (Licence: MT 1106 LCPC) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2025-04-07 |