NPI | 1033650973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0051) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0187191) |
Enumeration Date | 2017-03-11 |
Last Update Date | 2024-02-09 |