| NPI | 1952065831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0220931) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CMH0222521) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-01-23 |