| NPI | 1528808367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB20240278) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-06-03 |