| NPI | 1164987848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017581) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0199181) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-03-10 |