| NPI | 1174372171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0325) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-08-13 |