| NPI | 1598997876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM CCMH0197421) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0185291) |
| 101YP2500X Counselor, Professional (Licence: NM CCMH0197421) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2025-07-22 |