| NPI | 1407678659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2026-0362) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1843) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-05-22 |