| NPI | 1124231618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 4749) |
| 101YM0800X Counselor, Mental Health (Licence: NM T-0098501) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-12-24 |