| NPI | 1689915605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CAD0190821) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13678) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2024-09-18 |