| NPI | 1104601723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0146) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM CCSS) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-03-20 |