| NPI | 1114434727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2022-0152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T0192791) |
| 101YM0800X Counselor, Mental Health (Licence: NM CMH0197381) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-09-23 |