| 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 |