| NPI | 1205080983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07992) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0122711) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-07992) | |
| Enumeration Date | 2008-11-08 |
| Last Update Date | 2022-09-10 |