| NPI | 1568239655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CTB-2023-0865) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0824) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |