| NPI | 1124357603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM T0126411) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0125741) | |
| 101YP2500X Counselor, Professional (Licence: NM 0156311) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2021-04-28 |