| NPI | 1043838857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0456) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2025-07-23 |