| NPI | 1043074412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0022) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1865) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2026-07-13 |