| NPI | 1164189288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0185541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP3322-R) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2024-09-28 |