| NPI | 1356674592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-08567) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0152711) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2014-01-23 |