| 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 |