| NPI | 1346853082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0215621) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0193781) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-08-16 |