| NPI | 1063878924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2025-0375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0015375) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2025-09-16 |