| NPI | 1215347869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0225021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0206311) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-06-03 |