| NPI | 1417779430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0093) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM CADS22005) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |