| NPI | 1356014419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2022-0952) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 23-100) |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2025-0400) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2026-04-29 |