| NPI | 1821469339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0194501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CCMH0194501) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0176791) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2024-03-01 |