| NPI | 1114396058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7580) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2024-08-29 |