| NPI | 1700723962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2026-0359) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-18 |