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 |