NPI | 1134582612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0207031) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: NM CCMH0207031) | |
106S00000X Behavior Technician | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2023-11-15 |