| NPI | 1346707601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0216761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0197521) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-05-12 |