| NPI | 1013743095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CTB20240600) |
| 172V00000X Community Health Worker (Licence: NM 8222024) | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-07-23 |