| NPI | 1396193827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16362-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 9390-123) | |
| 102L00000X Psychoanalyst (Licence: WI 9390-123) | |
| 1041C0700X Social Worker, Clinical (Licence: WI SWB-2023-0044) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-01-12 |