| NPI | 1033433388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0156821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0156821) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2023-06-23 |