| NPI | 1598267452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CMH0198011) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CSA0193791) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2020-05-15 |