| NPI | 1265972459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM ctB-2025-0269) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NM CSA-0179721) |
| 101Y00000X Counselor (Licence: NM ctB-2025-0833) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2026-01-26 |