NPI | 1306453808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0523) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0218621) |
101YM0800X Counselor, Mental Health (Licence: NM CMH0222761) | |
101Y00000X Counselor | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2024-08-09 |