| NPI | 1164149241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM SWB-2023-0131) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM SWB-2022-0372) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-05-01 |