| NPI | 1356232110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2025-0446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0446) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-09-18 |