| NPI | 1215401625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM CTB20230549) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CSA0200481) |
| 172V00000X Community Health Worker (Licence: NM 02122019) | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2025-07-23 |