| NPI | 1265132310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0798) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM CTB-2023-0520) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0520) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2026-05-19 |