| NPI | 1194493486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0221141) |
| 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0215641) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-07-03 |