| NPI | 1366010829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CBT-2023-0449) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1132) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2023-12-21 |