| NPI | 1184232118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB20230059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor (Licence: NM CTB20240644) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CTB20240644) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2025-07-23 |