| NPI | 1104666361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0014) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2025-01-16 |