| NPI | 1295185197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0200521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0185091) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-09-18 |