| NPI | 1144788191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0221351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0201981) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2023-11-30 |