| NPI | 1689271405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0081) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 18813) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2025-03-05 |