| NPI | 1003566159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB20240354) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0212221) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-06-07 |