| NPI | 1881193050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0525) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0224881) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0203661) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2025-10-01 |