| NPI | 1730705773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0012) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2025-0221) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-08-21 |