| NPI | 1205234283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM CTB-2025-0208) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12123) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0012841) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2026-02-03 |