| NPI | 1801327614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017681) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CMH0200461) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0197041) | |
| 101YM0800X Counselor, Mental Health (Licence: NM CMH0200461) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2026-03-25 |