| NPI | 1033622162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0207301) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0188361) |
| 101YM0800X Counselor, Mental Health (Licence: NM CCMH0207301) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0188361) | |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2022-03-30 |