| NPI | 1316661713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM SWB-2026-0636) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NM CTB-2026-0621) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2026-07-23 |