| NPI | 1265132310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM CTB-2023-0520) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0520) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-12-31 |