| 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 |