NPI | 1316399074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM CCMH0207961) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM T-0182411) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2020-02-11 |