| NPI | 1326106568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 1708) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3768) |
| 104100000X Social Worker (Licence: NM M-0321) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-09-29 |