| NPI | 1407306764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CAD0215941) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM CAD0215941) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2025-09-07 |