NPI | 1174876296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11390) |
Additional Taxonomies | 172V00000X Community Health Worker |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2012-10-26 |
Last Update Date | 2022-05-24 |