NPI | 1316249329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0194861) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9079) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0189441) | |
101YM0800X Counselor, Mental Health (Licence: TX 67684) | |
Enumeration Date | 2010-11-23 |
Last Update Date | 2018-11-01 |