| NPI | 1083103279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0222131) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-10-21 |