| NPI | 1679681977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0081951) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0075181) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2025-09-11 |