| NPI | 1619391885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0222031) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0181861) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LAC-21890) | |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2024-09-18 |