| NPI | 1124766308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0512) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-10-21 |