| NPI | 1992333579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0308) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: NM 846) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-07-10 |