| NPI | 1013698612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2026-0229) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0629) |
| 175T00000X Peer Specialist (Licence: NM 1311) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2026-04-07 |