NPI | 1346706298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0642) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0201971) |
Enumeration Date | 2019-02-15 |
Last Update Date | 2023-12-07 |