| NPI | 1306453808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0222761) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0218621) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-03-31 |