| NPI | 1023574811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM cmh0203481) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0202481) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2023-01-05 |