| NPI | 1578796264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 21860) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM T-0124641) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0127441) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2023-09-10 |