| NPI | 1174993349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0222731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0176731) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-01-31 |