| NPI | 1780044305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM SWB-2022-0070) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0177931) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-02-22 |