| NPI | 1285107433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0224861) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 97358) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-01-30 |