| NPI | 1194271304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0202191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0186021) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-01-08 |