| NPI | 1518195270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM LPCC#0071091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0065332) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0071091) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2014-02-04 |