| NPI | 1740851518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-11195) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM M-11195) |
| 101YM0800X Counselor, Mental Health (Licence: NM M-11195) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |