| NPI | 1508470220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-1006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0557) |
| 101YP2500X Counselor, Professional (Licence: WI 4962) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16450-132) | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-09-19 |