| NPI | 1386478147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM S1-1635) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0172) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |