| NPI | 1215488663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0192021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0183641) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2022-03-22 |