| NPI | 1215736590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0503) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM CPSW-1731) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2026-05-13 |