| NPI | 1063134583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0846) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2022-0665) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-11-02 |