| NPI | 1841981909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2023-0572) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-03-18 |