| NPI | 1417604851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1285) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CSA0222541) |
| 1041C0700X Social Worker, Clinical (Licence: TX 62719) | |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2024-02-22 |