| NPI | 1174124119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0225081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0214061) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2022-06-08 |