| NPI | 1265069496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CMH0206661) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM CTB-2022-0922) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-03-06 |