| NPI | 1720607682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CCMH0225011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0209951) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-06-14 |