| NPI | 1467186981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0260) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-08-06 |