| NPI | 1144802513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-1030) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-02-06 |