| NPI | 1740513464 |
|---|---|
| Former Name | TAMELA ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2025-0514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R22111) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2025-08-05 |