| NPI | 1003420696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0678) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0212831) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-08-22 |