NPI | 1336570704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11367) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0809) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2024-05-15 |