| NPI | 1689826398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM T-0117051) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM B-4171) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-30 |