| NPI | 1275333411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0283) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1702) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-08-20 |