NPI | 1790131977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0154441) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB20230967) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2025-05-07 |