| NPI | 1356703334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3068-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CCMH0190841) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 13933-131) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0190851) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2018-06-16 |