| NPI | 1598088619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CSA0219721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T0147321) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2022-11-17 |